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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 7 July 2025
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Displaying 2336 contributions

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Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

Auditor General, one of the huge issues that we have seen over the years, dating back to Bob Black’s time, is how the Government and the NHS engage with the wider public in the journey of reform and get their support.

I visited a GP practice in Kilmarnock recently and 20 or so GPs spared some time to talk to me about that issue. They are concerned and disappointed that the public perception of GPs is that they are not working for the public and are not willing to see the public. That is a big issue. All members throughout the Parliament have heard that, but it is not true. GPs are delivering services and are engaging with the public face to face, but public perception is a big issue.

Can you offer any advice to the committee about how the Government could revisit that problem and have closer engagement with the public to enable them to make the journey of reform along with us?

10:30  

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

I have a brief question on that point, Auditor General. Exhibit 1 in the report shows £723 million of Covid spend for 2022-23. Beside that, it is stated that the spend for 2023-24 is not yet known. Do you mean by that that you anticipate that that level of funding will still be required to support Covid initiatives from the Scottish Government but that you just do not know the figure? It is not that that money will be lost. Do you anticipate that it will still be required?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

Is it too early to guess whether those measures are effective in dealing with wellbeing, absence rates and a high turnover of staff? Is it too early to say that we are making an impact?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

Absolutely.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

Have you views on how we should deliver that? What kind of participation processes should we try to create and promote to truly engage with the public on the reform process that we all know is needed? Saying that it is needed is great, but how do we deliver it? Do you have any suggestions to offer us?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

It is an interesting point that was made by that chief executive, and she also said that more junior doctors, many of whom have 20-plus years’ experience, are just as capable of making the discharge decision for the patient as consultants are. We could perhaps follow that up at a future date, convener.

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

My question is about staffing capacity and wellbeing issues. Auditor General, your report clearly tells us that staff numbers are at a record high—as you said, everything is at a record high in the NHS. However, we still face a problem with workforce and recruitment and the excessive cost, let us say, of employing bank and agency nursing staff. How do we resolve those two issues? What are your views on what the solution to that particular problem may be?

Public Audit Committee

“NHS in Scotland 2022”

Meeting date: 23 March 2023

Willie Coffey

Sharon Dowey may come in on the internationalisation of recruitment in a wee minute. Your report also talks about wellbeing, Auditor General. The report notes the Government’s view that

“there is not a culture of seeking help in the health and social care sector.”

Could you say a wee bit more about that, and about what role the national wellbeing hub is playing? It is an important area because, as we know, absence rates are particularly high. Give us a flavour of the issue.

Local Government, Housing and Planning Committee

Community Planning Inquiry (Post-legislative Scrutiny of the Community Empowerment (Scotland) Act 2015)

Meeting date: 21 March 2023

Willie Coffey

Thank you very much, all four of you, for those contributions.

Local Government, Housing and Planning Committee

Subordinate Legislation

Meeting date: 21 March 2023

Willie Coffey

I am still a little concerned about the general permitted development SSI. It is not clear whether there are sufficient safeguards in that measure. The minister says in the policy note that

“it does not disapply ... controls on obstructions”,

but that does not tell me that councils could not still go ahead with a development, irrespective of its impact or of the community’s views.

There is a lack of clarity in the middle ground about whether people can object to something or participate in a decision, and whether the council should assess an application. That is still not clear to me, I am afraid, which concerns me a little.